# CENTURA HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922342625
- **Authorized official:** MEGHANN KELLIE VANSLAGER PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (719) 285-2624

## Contact information

- **Practice address:** 1338 PHAY AVE, CANON CITY, CO 81212-2302
- **Practice address phone:** (719) 285-2600
- **Practice address fax:** (719) 285-2601
- **Mailing address:** 1338 PHAY AVE, CANON CITY, CO 81212-2302
- **Mailing address phone:** (719) 285-2600
- **Mailing address fax:** (719) 285-2601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 11433 | CO | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 11/19/2012